SOUTHEAST YOUTH BASEBALL & SOFTBALL ASSOCIATION - (DEERFIELD, OH)

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Player Registration Form

IF PAYING BY CASH, CHECK OR VENMO, PLEASE CONTACT US DIRECTLY AT SYBSA@YAHOO.COM TO REGISTER.

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Phone Contact:

* Birthdate:

* Email:

* Gender:

* School District:

Grade:

* Jersey size (Adult or Youth) and Jersey number:

* Name on Jersey:

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* Email:

* Cell Phone:

PARENT/GUARDIAN #2

* First Name:

* Last Name:

* Email:

* Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Phone:

* Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

I will observe all rules and regulations of the SYBSA League, the PGS League, and the NEOBaseball League, as well as rules of the coaches and managers responsible for the SYBSA teams. I, the parent or guardian of the above child/ren, do hereby give my permission for his/her participation in any and all baseball/softball related activities. I further release and absolve any and all of the officials, field owners, coaches, managers, volunteers, board members, and any and all who transport participants to baseball/softball related activities from liability from injury. In case of injury to my son/daughter(s), I hereby waive all claims against the association, its affiliates, officers, members, and anyone appointed in an official capacity by the association officers or township/s.

I/we agree with the above *

** PLEASE EMAIL BIRTH CERTIFICATE(S) TO SYBSA@YAHOO.COM**

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